Active NPI
Tracy Bramlett, LMSW
- Social Worker
- San Antonio, TX
National Provider Identifier
1619690369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8678
- Practice address
- 9939 State Highway 151
San Antonio, TX 78251-1900 - Phone
- (703) 899-5087
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8678 | TN | Primary |
Addresses
Primary practice location
9939 State Highway 151
San Antonio, TX 78251-1900
Mailing address
13031 Gordons Mott
San Antonio, TX 78253-5753
Phone (703) 899-5087
Other names 1
- Ms. Tracy Aretha Jackson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8678 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1619690369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13031 GORDONS MOTT",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782535753",
"telephone_number": "703-899-5087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9939 STATE HIGHWAY 151",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782511900",
"telephone_number": "703-899-5087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAMLETT",
"first_name": "TRACY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "8678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "JACKSON",
"middle_name": "ARETHA",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.